TEXAS DEPARTMENT OF STATE HEALTH SERVICES - Texas.gov

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TEXAS DEPARTMENT OF STATE HEALTH SERVICES

           DSHS Web Site: http://www.dshs.state.tx.us/dmd/
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                  RULES FOR LICENSURE OF TANNING FACILITIES
                    (25 Texas Administrative Code, §§229.341-229.357)

§229.341 Purpose
§229.342 Applicable Laws and Regulations
§229.343 Definitions
§229.344 Exemptions
§229.345 Licensing of Tanning Facilities
§229.346 Licensing Fees
§229.347 Revocation, Cancellation, Suspension, and Probation of a License
§229.348 Report of Changes
§229.349 Advertising
§229.350 Warning Signs
§229.351 Tanning Devices
§229.352 Protective Eyewear
§229.353 Operators
§229.354 Records
§229.355 Injury Reports
§229.356 Sanitation
§229.357 Enforcement and Penalties

§229.341 Purpose

This subchapter provides for the licensing and regulation of tanning facilities, including the
terms and conditions under which tanning devices at such facilities may be operated, pursuant to
applicable state and federal laws, rules, and regulations.

§229.342 Applicable Laws and Regulations

       (a) The Tanning Facility Regulation Act, Health and Safety Code, Chapter 145, governs
and applies to the rules in this subchapter.

       (b) The Executive Commissioner of the Health and Human Services Commission may
adopt rules as necessary to implement the Tanning Facility Regulation Act, Health and Safety
Code, Chapter 145.

       (c) Tanning devices are both electronic products and devices as defined by the Federal
Food, Drug and Cosmetic Act, 21 United States Code, et seq. and as such are subject to the
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provisions of that act as well as those of the Texas Food, Drug, and Cosmetic Act, Health and
Safety Code, Chapter 431, which requires the department to adopt rules regulating devices, i.e.,
tanning devices.

       (d) Tanning devices used in tanning facilities are required to comply with the following
applicable laws and regulations which are adopted by reference and include, but are not limited
to:

               (1) 21 Code of Federal Regulations (CFR), Part 801, Labeling;

               (2) 21 CFR, Subchapter J, Radiological Health;

               (3) 21 CFR, Part 1010, Performance Standards for Electronic Products - General;
and

              (4) 21 CFR, §1040.20, Sunlamp Products and Ultraviolet Lamps Intended for Use
in Sunlamp Products.

       (e) Reconditioned tanning devices must comply with applicable provisions of the Federal
Food, Drug and Cosmetic Act and the regulations adopted thereunder and are subject to the
provisions of the Texas Food, Drug, Device and Cosmetic Salvage Act, Health and Safety Code,
Chapter 432.

       (f) Nothing in this subchapter shall relieve any person of responsibility for compliance
with other pertinent Texas and federal laws, rules, and regulations.

        (g) Copies of these laws and rules are indexed and filed at the department, 1100 West
49th Street, Austin, Texas 78756, and are available for inspection during normal working hours.
Electronic copies of these laws, rules, and regulations are available online at
http://www.dshs.state.tx.us/license.shtm.

§229.343 Definitions

The following words and terms, when used in this subchapter, shall have the following
meanings, unless the context clearly indicates otherwise.

      (1) Act--The Tanning Facility Regulation Act (Act), codified as Health and Safety Code,
Chapter 145.

       (2) Adulterated--Has the meaning given in the Texas Food, Drug, and Cosmetic Act,
Health and Safety Code, §431.111, as interpreted in the rules of the department and judicial
decision.

       (3) Authorized agent--An employee of the department designated by the commissioner to
enforce the Act.

       (4) Change of ownership--The transfer of all or part of the ownership in a tanning facility
held by one person to another person or persons; the removal, addition, or substitution of a
person or persons as a partner in a facility owned by a partnership; a corporate sale, transfer,
reorganization, or merger of the corporation which owns the facility if sale, transfer,
reorganization, or merger causes a change in the facility's ownership; or if any other type of
association, the removal, addition, or substitution of a person or persons as a principal of such
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association.

       (5) Commissioner--The Commissioner of the Department of State Health Services.

       (6) Department--The Department of State Health Services.

         (7) Fitzpatrick scale--A scale for classifying a skin type, based on the skin's reaction to
the first 10 to 45 minutes of sun exposure after the winter season.

Skin Type                    Reaction to Sun Exposure

1                            Always burns easily; never tans

2                            Always burns easily; tans minimally

3                            Burns moderately; tans gradually

4                            Burns minimally; always tans well

5                            Rarely burns; tans profusely

6                            Never burns; deeply pigmented

       (8) Health authority--A physician designated to administer state and local laws relating to
public health.

       (9) Misbranded--Has the meaning given in the Texas Food, Drug, and Cosmetic Act,
Health and Safety Code, §431.112, as interpreted in the rules of the department and judicial
decision.

        (10) Operate--To own, manage, or control a tanning facility, or to offer tanning services
to the public.

       (11) Operator--A tanning facility owner, or an agent of a tanning facility owner, or a
person who operates a tanning facility.

       (12) Person--An individual, partnership, corporation, or association.

        (13) Phototherapy device--A piece of equipment that emits ultraviolet radiation and that
is used by a health care professional in the treatment of disease.

       (14) Radiation--Ultraviolet radiation.

       (15) Radiation machine--Any device capable of producing radiation.

       (16) Reconditioning--Has the meaning given in the Texas Food, Drug, Device, and
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Cosmetic Salvage Act, Health and Safety Code, §432.003, as interpreted in the rules of the
department in §229.603 of this title (relating to Definitions) and judicial decision.

        (17) Tanning device--A device, as defined in the Texas Food, Drug, and Cosmetic Act,
Health and Safety Code, §431.002, that emits electromagnetic radiation with wavelengths in the
air between 200 and 400 nanometers and that is used for tanning of human skin, including a
sunlamp, tanning booth, or tanning bed. A tanning device is also classified as a device, as
defined in the Federal Food, Drug and Cosmetic Act and the applicable Code of Federal
Regulations. The term also includes any accompanying equipment, including protective
eyewear, timers, and handrails.

       (18) Tanning facility--A business that provides persons access to or use of tanning
devices.

§229.344 Exemptions

       (a) This subchapter does not apply to a phototherapy device used by or under the
supervision of a licensed physician who is trained in the use of a phototherapy device.

        (b) Personal use of a tanning device by an individual is exempt from the provisions of
this subchapter to the extent that such individual owns the tanning device exclusively for
personal use and no fee or other compensation is involved in the use of the tanning device.

§229.345 Licensing of Tanning Facilities

       (a) A person shall not operate a tanning facility without a current and valid license to
operate the facility that is issued by the department. A separate license is required for each
tanning facility.

       (b) The license shall be displayed in an open public area of the tanning facility.

       (c) Each person acquiring or establishing a tanning facility after the effective date of this
subchapter shall apply to the department for a license for such facility prior to beginning
operation.

       (d) Unless the license is amended as provided in subsection (g) of this section or is
revoked or suspended as provided in §229.347 of this title (relating to Revocation, Cancellation,
Suspension and Probation of a License), the license is valid for two years as determined by the
department.

         (e) Licenses shall not be transferable from one person to another or from one tanning
facility to another.

       (f) A license issued under this subchapter shall be returned to the department if the
tanning facility:

               (1) ceases business or otherwise ceases operation on a permanent basis;

               (2) relocates;

               (3) changes the name of the business under which the tanning facility operates; or

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(4) changes ownership.

         (g) A license that is amended, including a change in location, name, or ownership of a
tanning facility, will require submission of a license application and fee as outlined in subsection
(j) of this section and §229.346(a) of this title (relating to Licensing Fees).

        (h) In the event a current and valid license is lost, stolen or destroyed, the licensee shall
request a replacement license from the department by submitting an application and non-
refundable fee as outlined in subsection (j) of this section and §229.346(a) of this title. A
replacement license shall only be issued if the lost, stolen or destroyed license was current and
valid at the time of the request, and no changes in business name, location or ownership have
occurred.

        (i) License application forms may be obtained from the department, 1100 West 49th
Street, Austin, Texas, 78756 or online at http://www.dshs.state.tx.us/license.shtm.

       (j) The application required in subsections (c), (g), (h), (k), and (l) of this section shall be
completed on forms provided by the department and shall contain all the information required by
such forms and any accompanying instructions.

         (k) Each tanning facility shall provide the following information upon initial application
for a license:

               (1) the name of the legal entity to be licensed, including the name under which the
business is conducted, physical address, mailing address, and telephone number of the tanning
facility;

                 (2) if a proprietorship, the name of the proprietor; if a partnership, the names of
all partners; if a corporation, the names of the corporate officers and/or directors, the corporation
charter number, and the name and address of its registered agent in the state; or if any other type
of association, the names of the principals of such association;

              (3) the name(s), mailing address(es), telephone number(s), and valid driver's
license number(s) of:

                       (A) the proprietor in the case of a sole proprietorship;

                       (B) the managing partner in the case of a partnership;

                       (C) the officers and/or directors in the case of a corporation;

                       (D) the principals in the case of an association;

                       (E) the operator in charge of the tanning facility;

               (4) hours of operation of each tanning facility; and

               (5) signature of the owner verifying all information on the initial application form.

       (l) The renewal application for licensure as a tanning facility shall be made on a form
furnished by the department and can be obtained as referenced in subsection (i) of this section.

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(m) Failure to complete the application form may result in the denial of a license.

        (n) The department will not issue a license under this subchapter with respect to a facility
that:

              (1) is operated under a license or permit as a sexually oriented business issued in
accordance with Government Code, §243.007;

               (2) offers, as its primary business, a service or the sale, rental, or exhibition of a
device or other item that is intended to provide sexual stimulation or sexual gratification to a
customer; or

             (3) is owned or operated by a person who has been convicted of an offense under
Penal Code, Chapter 21 or 43; or Penal Code, §71.02(a)(3).

       (o) A current license or renewal license shall only be issued when all past due fees and
delinquency fees are paid.

§229.346 Licensing Fees

        (a) All applicants for a tanning facility license or renewal license shall pay a license fee
for each place of business. All fees are nonrefundable. The license fees are as follows:

               (1) $440 for a two-year license;

               (2) $440 for a two-year license that is amended due to a change of ownership;

              (3) $220 for a license that is amended during the current licensure period due to
minor changes; and

               (4) $100 for a replacement license.

        (b) A tanning facility shall pay a $100 delinquency fee if the license renewal fee is paid
after the expiration date of the current license.

       (c) texas.gov. Applicants may submit applications and renewal applications and pay the
required fees for a license under this subchapter electronically by the Internet through texas.gov
at www.texas.gov. The department is authorized to collect fees, in amounts determined by the
texas.gov Authority, to recover costs associated with license application and renewal application
processing through texas.gov.

       (d) A licensee with multiple licenses under this subchapter may request, in writing, a
prorated license fee to consolidate the expiration dates of multiple licenses.

§229.347 Revocation, Cancellation, Suspension, and Probation of License

       (a) The department may revoke, cancel, suspend, suspend on an emergency basis, or
probate by an emergency order of the commissioner, or the commissioner's designee a license to
operate a tanning facility if the facility has:

               (1) failed to pay a license fee or a renewal fee for a license;

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(2) obtained or attempted to obtain a license by fraud or deception;

               (3) violated any of the provisions of the Act; or

               (4) violated any of the provisions of this subchapter.

      (b) The department shall revoke a license issued with respect to a facility if the license
may not be renewed under §229.345(n) of this title (relating to Licensing of Tanning Facilities).

        (c) Prior to revoking, canceling, suspending or probating a license, the department shall
give the license holder written notice of the proposed action, including the reasons and an
opportunity for a hearing.

       (d) Any hearing for the revoking, canceling, suspending, or probating of a license are
governed by §§1.21, 1.23, 1.25, and 1.27 of this title (relating to Formal Hearing Procedures).

       (e) If the department suspends a license, the suspension shall remain in effect until the
department determines that the reason for suspension no longer exists. If the suspension
overlaps a renewal date, the suspended license holder shall comply with the renewal procedures
in §229.345(l) of this title and the payment of appropriate fees in §229.346 of this title (relating
to Licensing Fees); however the department may not renew the license until the department
determines that the reason for the suspension no longer exists.

        (f) If the department revokes or does not renew a license, a person may reapply for a
license by complying with the requirements and procedures in §229.345(j) of this title and
§229.346 of this title at the time of reapplication. The department may refuse to issue a license if
the reason for revocation or nonrenewal continues to exist. A license holder named in a
revocation action is not eligible for licensing under this subchapter for a period of one year from
the date of the revocation.

§229.348 Report of Changes

The license holder shall notify the department in writing within ten working days of any change,
including a change in location, name, or ownership of a tanning facility, which would render the
information contained in the initial license application, reported pursuant to §229.345 of this title
(relating to Licensing of Tanning Facilities), no longer accurate. Failure to inform the department
within ten working days of a change in the information required in the license application may
result in enforcement action as described in §229.357 of this title (relating to Enforcement and
Penalties).

§229.349 Advertising

         (a) No person, in any advertisement, shall refer to the fact that the person or the person's
facility is licensed with the department pursuant to the provisions of §229.345 of this title
(relating to Licensing of Tanning Facilities), and no person shall state or imply that any activity
under such license has been approved by the department.

        (b) A tanning facility shall not claim, or distribute promotional materials that claim, that
using a tanning device is safe or free from risk or that using the device will result in medical or
health benefits. The only claims that may be made for tanning are cosmetic.

       (c) A business described in §229.345(n) of this title shall not use the word "tan" or
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"tanning" in a sign or any other form of advertising.

§229.350 Warning Signs

         (a) A tanning facility operator shall post a warning sign in a conspicuous location where
it is readily visible to persons entering the facility. The sign shall have the following wording
and appearance.

                                       DANGER
                                ULTRAVIOLET RADIATION
                Repeated exposure to ultraviolet radiation may cause chronic sun
              damage characterized by wrinkling, dryness, fragility, and bruising of
                                   the skin, and skin cancer.
                 Failure to use protective eyewear may result in severe burns or
                                  permanent injury to the eyes.
              Medications or cosmetics may increase your sensitivity to ultraviolet
             radiation. Consult a physician before using a sunlamp if you are using
                medications, have a history of skin problems, or believe you are
             especially sensitive to sunlight. Pregnant women or women taking oral
               contraceptives who use this product may develop discolored skin.
                 A customer may call the Department of State Health Services at
                                         1-888-839-6676
                    to report an alleged injury regarding this tanning facility.
             IF YOU DO NOT TAN IN THE SUN, YOU ARE UNLIKELY TO
                  TAN FROM USE OF AN ULTRAVIOLET LAMP OR
                                  SUNLAMP.

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(b) A tanning facility operator shall post a warning sign, one sign for each tanning device,
in a conspicuous location that is readily visible to a person about to use the device. The sign shall
have the following wording and appearance.

                                        DANGER
                                 ULTRAVIOLET RADIATION
                  1. Follow the manufacturer's instructions for use of this device.
               2. Avoid too frequent or lengthy exposure. As with natural sunlight,
              exposure can cause serious eye and skin injuries and allergic reactions.
                           Repeated exposure may cause skin cancer.
                3. Wear protective eyewear. Failure to use protective eyewear may
                     result in severe burns or permanent damage to the eyes.
                4. Do not sunbathe before or after exposure to ultraviolet radiation
                                         from sunlamps.
                    5. Medications or cosmetics may increase your sensitivity to
              ultraviolet radiation. Consult a physician before using a sunlamp if you
               are using medication, have a history of skin problems, or believe you
               are especially sensitive to sunlight. Pregnant women or women using
              oral contraceptives who use this product may develop discolored skin.
                 A customer may call the Department of State Health Services at
                                          1-888-839-6676
                     to report an alleged injury regarding this tanning device.
              IF YOU DO NOT TAN IN THE SUN, YOU ARE UNLIKELY TO
                         TAN FROM USE OF THIS DEVICE.

       (c) Warning signs shall meet the following requirements.

              (1) The sign shall be printed on white 80 pound gloss coated cover stock and shall
be 17 inches wide by 22 inches long.

              (2) The lettering on each warning sign shall be brilliant red (Pantone 185) or
equivalent on white background.

              (3) The major sign heading entitled "DANGER" shall be a minimum of Helvetica
Bold 110 point or equivalent.

            (4) The subheading entitled "ULTRAVIOLET RADIATION" shall be a
minimum of Helvetica Bold 84 point or equivalent.

               (5) Body copy shall be Helvetica 36 point or equivalent.

               (6) Remaining capitalized copy shall be a minimum of Helvetica Bold 60 point or
equivalent.
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(d) Camera ready copies of each sign shall be available for reproduction purposes upon
written request to the department, 1100 West 49th Street, Austin, Texas 78756-3182.

       (e) The department shall include with a license application a description of the design
standards required for signs in this section.

§229.351 Tanning Devices

        (a) Only tanning devices manufactured and certified to comply with 21 Code of Federal
Regulations (CFR), Part 1040, §1040.20, "Sunlamp products and Ultraviolet Lamps Intended for
Use in Sunlamp Products", shall be used by or sold to tanning facilities. Tanning devices that
have been reconditioned must comply with federal and state requirements. Tanning device
reconditioners must be licensed under the Texas Food, Drug, Device, and Cosmetic Salvage Act,
Health and Safety Code, Chapter 432. Compliance shall be based on the standard in effect at the
time of manufacture as shown on the device identification label required by 21 CFR, Part 1010,
§1010.3. Tanning devices must also comply with the medical device labeling requirements of 21
CFR, Part 801.

       (b) All tanning devices shall have a timer which complies with the requirements of 21
CFR, Part 1040, §1040.20(c)(2). The maximum timer interval shall not exceed the
manufacturer's maximum recommended exposure time for the device. No timer interval shall
have an error greater than plus or minus 10% of the maximum timer interval for the product.

       (c) The operator shall limit the exposure time of a customer on a tanning device to the
maximum exposure time recommended by the manufacturer, taking the customer's skin type into
consideration.

        (d) Tanning device remote timers shall be installed and located so that the customer may
not set or reset the customer's own exposure time. Remote timer systems must comply with the
requirements for timers as provided in subsection (b) of this section.

       (e) No operator shall sell, or otherwise make available to any user of a tanning device,
tokens required to operate the tanning device in quantities greater than the tanning device
manufacturer's maximum recommended exposure time for the user.

       (f) The operator shall control the temperature of the customer contact surfaces of a
tanning device and the surrounding area so that it will not exceed 100 degrees Fahrenheit.

       (g) The tanning devices shall be maintained in good repair.

        (h) Defective or burned-out lamps or filters shall be replaced with a type intended for use
in that device as specified on the device label, or with lamps or filters that are "equivalent" under
the United States Food and Drug Administration (FDA) regulations and policies applicable at the
time of lamp manufacture. The facility operator shall maintain lamp manufacturer's user
instruction labeling at the facility, demonstrating the equivalence of any replacement lamps, if
applicable.

        (i) A tanning device used by a tanning facility must comply with all applicable state and
local electrical code requirements.

       (j) When a tanning device is being used by an individual, no other person shall be
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allowed to remain in the tanning device area.

§229.352 Protective Eyewear

       (a) Each customer shall be provided with protective eyewear and instructions for their
use. The operator shall not allow a person to use a tanning device if that person does not agree to
use protective eyewear at all times while using the device.

        (b) Before each use of a tanning device, the operator shall ensure that each tanning device
is accompanied by clean and properly sanitized protective eyewear that protects the eyes from
ultraviolet radiation and allows adequate vision to maintain balance.

        (c) Protective eyewear shall be located in the immediate proximity of each tanning
device, readily visible to a person about to use the device, and shall be provided without charge
to each user of a tanning device.

       (d) Protective eyewear shall meet the requirements of the United States Food and Drug
Administration, including the requirements of 21 Code of Federal Regulations, Part 801 and Part
1040, §1040.20(c)(4).

§229.353 Operators

       (a) A tanning facility shall have an operator present during operating hours.

        (b) Each operator must be sufficiently trained and knowledgeable in the correct operation
of the tanning devices used at the facility to adequately inform and assist each customer in the
proper use of the tanning devices. A record of all training received by each operator shall be
kept at the tanning facility where the operator is employed. The record shall be signed by the
operator and the owner or owner's designee. The operator must be able to demonstrate such
knowledge concerning the:

               (1) requirements of this subchapter and the Tanning Facility Regulation Act;

               (2) procedures for correct operation of the facility;

               (3) recognition of injury or overexposure;

               (4) manufacturer's procedures for operation and maintenance of all tanning
devices;

               (5) emergency procedures in case of injury;

                (6) classification of consumer skin types and the recommended exposure times for
all skin types; and

               (7) maintenance of records required by §229.354 of this title (relating to Records).

       (c) The operator must understand, be competent to explain, and at a minimum, instruct,
inform, and assist each customer using a tanning device for the first time of:

               (1) the potential hazards and protective measures associated with ultraviolet
radiation exposure;
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(2) the requirement to wear protective eyewear at all times while using the
tanning device;

               (3) the possibility of photosensitivity and photoallergenic reaction of some
persons to drugs, medicine, and other agents when subjected to sun and ultraviolet radiation
exposure;

              (4) the correlation between skin type and exposure time; and the maximum
exposure time of the facility's devices;

                 (5) the biological process of tanning;

                 (6) the dangers and necessity of avoiding overexposure; and

                 (7) the location and operation of the exposure termination control for the tanning
device.

       (d) If an operator suspects that possible harm may result from tanning, the customer
should be advised to consult their private physician.

       (e) Written procedures shall be established and maintained at the tanning facility which
describe the requirements operator(s) will follow for the correct use of tanning device(s), to
include:

                 (1) instructions to the customer;

                 (2) use of protective eyewear;

                 (3) suitability of prospective customers for tanning device use;

                 (4) determination of duration of tanning exposures;

                 (5) periodic testing of tanning device(s) and timer(s);

                 (6) handling of complaints of injury or illness from customers; and

                 (7) records to be maintained on each customer.

          (f) No operator may permit any person under 16.5 years of age to use a tanning device.

        (g) No operator may permit any person at least 16.5 years of age and younger than 18
years of age to use a tanning device for the first time unless such person's parent or legal
guardian, in person at the facility, presents the facility with consent in writing for such person to
use the device and the consent meets the requirements of §229.354 of this title (relating to
Records).

        (h) No operator may permit any person younger than 18 years of age to use a tanning
device for the first time unless the person has displayed a driver’s license or other form of
identification containing the person’s photograph and indicating that the person is 16.5 years of
age or older.

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§229.354 Records

          (a) Customer notice.

                 (1) A tanning facility operator shall give each customer a written statement
warning that:

                       (A) failure to use the eye protection provided to the customer by the
tanning facility may result in permanent damage to the eyes;

                        (B) overexposure to ultraviolet light causes burns;

                        (C) repeated exposure may result in premature aging of the skin and skin
cancer;

                         (D) abnormal skin sensitivity or burning may be caused by reactions of
ultraviolet light to certain:

                                 (i) foods;

                                 (ii) cosmetics; or

                                 (iii) medications, including:

                                         (I) tranquilizers;

                                         (II) diuretics;

                                         (III) antibiotics;

                                         (IV) high blood pressure medicines; or

                                         (V) birth control pills;

                      (E) any person taking a prescription or over-the-counter drug should
consult a physician before using a tanning device;

                        (F) pregnant women should consult their physicians before using a tanning
device;

                      (G) a person with skin that always burns easily and never tans should
avoid a tanning device; and

                      (H) a person with a family or past medical history of skin cancer should
avoid a tanning device.

                (2) Compliance with the notice requirements does not affect the liability of a
tanning facility operator or a manufacturer of a tanning device.

          (b) Signed warning statement.

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(1) Each time a customer who is 18 years of age or older uses a tanning facility's
tanning device for the first time and each time a person executes or renews a contract to use a
tanning facility, the person shall provide photo identification and sign and date a written
statement acknowledging that the person has read and understood the required warnings in
§229.350 of this title (relating to Warning Signs) and subsection (a) of this section before using
the device and agrees to use protective eyewear.

                 (2) Before any person younger than 18 years of age uses a tanning device for the
first time, the person shall give the tanning facility operator a written informed consent statement
signed and dated by the person and the person's parent or legal guardian. The informed consent
statement shall state that the person and the parent or legal guardian have read and understood
the advisory statement issued by the Texas Medical Board and available online at
http://www.dshs.state.tx.us/dmd, warning of the dangers of indoor and outdoor tanning and its
association with skin cancer, eye damage, and other health risks, provided by the tanning facility,
and agree that the minor will use protective eyewear at all times while using the tanning device.
A written informed consent statement may be revoked at any time.

               (3) A tanning facility may not allow a person under the age of 16.5 years to use a
tanning device.

                (4) For illiterate or visually handicapped persons, the warning statement shall be
read by the operator in the presence of a witness. Both the witness and the operator shall sign
and date the statement.

       (c) Individual customer records.

               (1) An individual customer record shall be kept by the facility operator and shall
include:

                       (A) the customer’s date of birth;

                       (B) the total number of tanning visits;

                        (C) the length of exposure to each tanning device in minutes and the
identity of the device responsible for the exposure;

                       (D) the date and time of each exposure;

                       (E) any injuries or illnesses resulting from the use of a tanning device;

                       (F) any written informed consent statement required to be signed in this
section;

                       (G) the customer's skin type, as determined by the customer by using the
Fitzpatrick scale;

                       (H) whether the customer has a family history of skin cancer; and

                       (I) whether the customer has a past medical history of skin cancer.

              (2) The operator must ensure that no individual is allowed to use a tanning device
more than once every 24 hours.
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(d) Incident log. An operator shall maintain a log at each tanning facility of any incident
involving an alleged injury, the use of a tanning device by a customer not wearing protective
eyewear, a mechanical problem with a tanning device, or a customer complaint. The log shall
contain the nature of the incident, the date the incident occurred, the identity of any tanning
device involved in the incident, a description of any corrective action taken in response to the
incident, and the signature or initials of the operator responsible for determining whether or not
corrective action was required.

       (e) Record retention. All records required by this section shall be maintained at the
tanning facility at least until the third anniversary of the date of the customer's last use of a
tanning device.

        (f) Access to records. A person who is required to maintain records under this section or a
person who is in charge or custody of those records shall, at the request of an authorized agent or
health authority, permit the authorized agent or the health authority at all reasonable times access
to and to copy and verify the records.

        (g) Disclosure of records.

             (1) Except as provided by paragraph (2) of this subsection, an operator or other
person may not disclose a customer record required in subsection (c) of this section.

                (2) An operator or other person may disclose a customer record:

                      (A) if the customer, or a person authorized to act on behalf of the
customer, requests the record;

                      (B) if the commissioner or an authorized agent or health authority requests
the record under subsection (f) of this section;

                        (C) if the customer consents in writing to the disclosure to another person;

                        (D) in a criminal proceeding in which the customer is a victim, witness, or
defendant;

                        (E) if the record is requested in a criminal or civil proceeding by court
order or subpoena; or

                        (F) as otherwise required by law.

        (h) Electronic records. Records required by this subchapter which are maintained by the
tanning facility on computer systems shall be regularly copied, at least monthly, and updated on
storage media other than the hard drive of the computer. An electronic record must be
retrievable as a printed copy.

        (i) Forms. Forms that have been developed by the department for use by tanning facilities
will be provided upon request as camera ready copies for reproduction purposes.

§229.355 Injury Reports

A written report of any injury or illness associated with a tanning device shall be forwarded to
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the department within five working days of its occurrence or knowledge thereof. The report
shall include:

       (1) the name of the affected individual;

       (2) the name and location of the tanning facility involved;

       (3) the date of the injury or illness;

       (4) the nature of the injury or illness;

       (5) identification of the tanning device involved in the injury or illness, including brand,
model, and location;

       (6) the name and address of health care provider, if any;

       (7) the name of the operator on duty at the time of injury or illness; and

       (8) any other information considered relevant to the situation.

§229.356 Sanitation

       (a) The tanning facility shall be kept clean and sanitary at all times. The interior of a
tanning facility shall be maintained in good repair and in a safe, clean, sanitary condition, free
from all accumulation of dirt and rubbish.

       (b) The operator shall clean and properly sanitize any reusable protective eyewear before
each use with a sanitizer registered with the United States Environmental Protection Agency
(USEPA). Exposure to the ultraviolet radiation produced by the tanning equipment itself is not
considered a sanitizing agent.

       (c) The operator shall clean and properly sanitize the body contact surfaces of a tanning
device after each use with a sanitizer registered with the USEPA.

        (d) A test kit or other device that accurately measures the concentration of the sanitizing
solution in parts per million shall be used to measure the strength of the sanitizing solution at
least once per day of tanning facility operation or more frequently as needed to ensure sufficient
strength of the sanitizing solution. All measurements of the sanitizing solution shall be recorded
in a log that includes the date of the measurement, the strength of the sanitizing solution
measured in accordance with manufacturer's directions, and the initials of the operator
responsible for measuring the strength of the sanitizing solution.

      (e) The operator shall provide the customers of the tanning facility access to toilet and
handwashing facilities with hot and cold running water.

       (f) Each tanning facility shall provide to its customers cloth towels or disposable paper
towels which may not be shared. Cloth towels must be laundered with soap or detergent after
each use.

        (g) Floors in rooms containing tanning devices are to be constructed of nonabsorbent,
easily cleanable materials. Tanning facilities shall not include carpeting in rooms containing
tanning devices.
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(h) Floors are to be made dry prior to each customer's use.

       (i) Dogs, cats, birds, reptiles, and other pets shall not be permitted in tanning facilities.
This exclusion does not apply to guide dogs or fish in aquariums.

§229.357 Enforcement and Penalties

       (a) Inspections. The commissioner or an authorized agent shall have access at all
reasonable times to any tanning facility to inspect the facility to determine compliance with the
Tanning Facility Regulation Act (Act) or this subchapter.

       (b) Administrative penalties. Administrative penalties, as provided in Health and Safety
Code, §145.0122, and in §229.261 of this title (relating to Assessment of Administrative
Penalties), may be assessed for violation of this subchapter.

       (c) Criminal penalty.

               (1) A person, other than a customer, commits an offense if the person violates the
Act or rules adopted under the Act.

               (2) Except as provided by paragraph (3) of this subsection, an offense under the
Act is a Class A misdemeanor.

               (3) An offense under §229.349(c) of this title (relating to Advertising) is a Class C
misdemeanor, unless it is shown on the trial of an offense under this subsection that the person
has previously been convicted of an offense under this subsection, then the offense is a Class A
misdemeanor.

        (d) Civil penalty; Injunction. If it appears that a person has violated or is violating Health
and Safety Code, Chapter 145, or an order issued or a rule adopted under authority of Health and
Safety Code, §145.011, the commissioner may request the attorney general or the district or
county attorney or the municipal attorney of a municipality in the jurisdiction where the violation
is alleged to have occurred or may occur to institute a civil suit for:

               (1) an order enjoining the violation;

               (2) a permanent or temporary injunction, a temporary restraining order, or other
appropriate remedy if the department shows that the person has engaged in or is engaging in a
violation;

               (3) the assessment and recovery of a civil penalty; or

               (4) both injunctive relief and a civil penalty.

        (e) Venue. Venue for a suit brought under the Act shall be in the county in which the
violation or the threat of violation is alleged to have occurred or in Travis County.

       (f) Adulterated or misbranded tanning device. If the department identifies an adulterated
or misbranded tanning device, the department may enforce the applicable provisions of
Subchapter C of the Texas Food, Drug, and Cosmetic Act (Health and Safety Code, Chapter 431)
including, but not limited to: detention, emergency order, recall, condemnation, destruction,
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injunction, civil penalties, criminal penalties and/or administrative penalties. Administrative and
civil penalties will be assessed using the Severity Levels contained in §229.261 of this title.

       (g) Emergency order. The commissioner or the commissioner's designee may issue an
emergency order relating to the operation of a tanning facility in the department's jurisdiction if
the commissioner or the commissioner's designee determines:

              (1) operation of the tanning facility creates or poses an immediate and serious
threat to human life or health; and

                (2) other procedures available to the department to remedy or prevent the threat
will result in unreasonable delay.

                                                                                   Revised 12/27/2010

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